I wish we had the same selection here. I'm in a suburb of Portland and I probably have 5 hospitals within 25 minutes (no traffic) as well, but at least half of those are religious hospitals which do not offer all services. E.g. you hope your pregnancy is smooth if you're planning to get your tubes tied after your C-section, because if you have to go the hospital with a NICU, they won't do the sterilization because they are religiously opposed to it.